TARA M GAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

TARA M

Last Name

GAGNER

Business Name

TARA M GAGNER

Original Issue Date

09/23/2003

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026